Comparison of the Accuracy of Visual Inspection with Acetic Acid, Visual Inspection with Lugol Iodine and coloscope in Screening for Cervical Neoplasia

Benha Journal of Applied Sciences Pub Date : 2023-07-25 DOI:10.21608/bjas.2023.218636.1196

Seham Al Berry, T. Assar, Ahmed Suliman, Mona Gohary

{"title":"Comparison of the Accuracy of Visual Inspection with Acetic Acid, Visual Inspection with Lugol Iodine and coloscope in Screening for Cervical Neoplasia","authors":"Seham Al Berry, T. Assar, Ahmed Suliman, Mona Gohary","doi":"10.21608/bjas.2023.218636.1196","DOIUrl":null,"url":null,"abstract":"Background: Cervix cancer is a main cause of illness and death globally among women. It is the second most prevalent cancer and the leading cause of cancer-related death in women. To combat the condition, it is necessary to create a screening test with high specificity and sensitivity. Aim of the Work: to compare Visual Inspection with Acetic Acid, Visual Inspection with Lugol Iodine and colposcope Accuracy in Cervical Neoplasia Screening. Patients and Methods: This study is a Cross-sectional study this study was conducted in Obstetrics and Gynecology department at Benha University hospitals. The study period was carried out from February 2022 to January 2023. Results: In the current study, the mean age was 38.93±7.2 years and the most common age category was 40-50 years in 25 (38.5%) patients. In the present study, most of the studied cases 58 (89.2%) were House wife, only 4(6.2%) cases were nurse and 3 (4.6%) were Teacher. As regard to contraception, the most common Contraception used was IUCD in 34 (52.3%), then 8 (12.3%) cases used Cocs, 4(6.2%) cases used Pops and also tubal ligation, 3 (4.6%) cases used DMPA. As regard to symptoms, there were 37 (56.9%) suffer from bleeding, 47 (72.3%) cases had positive Discharge, 43 (66.2%) cases had pain. In the present study, there were 19(29.2%) cases had abnormal VIA and 46 (70.8%) cases were normal, there were 19(29.2%) cases had abnormal VILI and 46 (70.8%) cases were normal and there were 34(52.3%) cases had abnormal Colposcope and 31 (47.7%) cases were normal. By biopsy there were 32(49.2%) cases had abnormal Biopsy and 33 (50.8%) cases were normal Conclusion: The saying “preventable but not prevented\" still applies to cervical cancer because there are currently no screening methods that are 100% sensitive and have good specificity . As a result, in the current study, an effort has been made to assess the colposcopy, VILI and VIA both separately and compined.","PeriodicalId":8745,"journal":{"name":"Benha Journal of Applied Sciences","volume":"308 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Benha Journal of Applied Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21608/bjas.2023.218636.1196","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Cervix cancer is a main cause of illness and death globally among women. It is the second most prevalent cancer and the leading cause of cancer-related death in women. To combat the condition, it is necessary to create a screening test with high specificity and sensitivity. Aim of the Work: to compare Visual Inspection with Acetic Acid, Visual Inspection with Lugol Iodine and colposcope Accuracy in Cervical Neoplasia Screening. Patients and Methods: This study is a Cross-sectional study this study was conducted in Obstetrics and Gynecology department at Benha University hospitals. The study period was carried out from February 2022 to January 2023. Results: In the current study, the mean age was 38.93±7.2 years and the most common age category was 40-50 years in 25 (38.5%) patients. In the present study, most of the studied cases 58 (89.2%) were House wife, only 4(6.2%) cases were nurse and 3 (4.6%) were Teacher. As regard to contraception, the most common Contraception used was IUCD in 34 (52.3%), then 8 (12.3%) cases used Cocs, 4(6.2%) cases used Pops and also tubal ligation, 3 (4.6%) cases used DMPA. As regard to symptoms, there were 37 (56.9%) suffer from bleeding, 47 (72.3%) cases had positive Discharge, 43 (66.2%) cases had pain. In the present study, there were 19(29.2%) cases had abnormal VIA and 46 (70.8%) cases were normal, there were 19(29.2%) cases had abnormal VILI and 46 (70.8%) cases were normal and there were 34(52.3%) cases had abnormal Colposcope and 31 (47.7%) cases were normal. By biopsy there were 32(49.2%) cases had abnormal Biopsy and 33 (50.8%) cases were normal Conclusion: The saying “preventable but not prevented" still applies to cervical cancer because there are currently no screening methods that are 100% sensitive and have good specificity . As a result, in the current study, an effort has been made to assess the colposcopy, VILI and VIA both separately and compined.

查看原文本刊更多论文

醋酸目视检查、卢戈尔碘目视检查和阴道镜在筛查宫颈肿瘤中的准确性比较

背景：宫颈癌是全球妇女患病和死亡的主要原因。它是第二大流行癌症，也是妇女因癌症死亡的主要原因。为了防治这种疾病，有必要建立一种特异性和灵敏度都很高的筛查测试。工作目的：比较醋酸肉眼检查、卢戈尔碘肉眼检查和阴道镜在宫颈肿瘤筛查中的准确性。患者和方法：本研究是一项横断面研究，在本哈大学医院妇产科进行。研究时间为 2022 年 2 月至 2023 年 1 月。研究结果在本次研究中，患者的平均年龄为（38.93±7.2）岁，最常见的年龄段为 40-50 岁，占 25 例（38.5%）。在本次研究中，58 例（89.2%）研究病例中的大多数人是家庭主妇，只有 4 例（6.2%）是护士，3 例（4.6%）是教师。在避孕措施方面，34 例（52.3%）最常用的避孕措施是宫内节育器，8 例（12.3%）使用可克丝，4 例（6.2%）使用 Pops 和输卵管结扎，3 例（4.6%）使用 DMPA。在症状方面，37 例（56.9%）有出血，47 例（72.3%）有阳性分泌物，43 例（66.2%）有疼痛。本研究中，19 例（29.2%）VIA 异常，46 例（70.8%）正常；19 例（29.2%）VILI 异常，46 例（70.8%）正常；34 例（52.3%）阴道镜异常，31 例（47.7%）正常。活组织检查方面，32 例（49.2%）活组织检查异常，33 例（50.8%）正常：宫颈癌 "可防不可治 "的说法仍然适用，因为目前还没有敏感性和特异性都达到 100% 的筛查方法。因此，本研究对阴道镜检查、VILI 和 VIA 进行了单独和综合评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Benha Journal of Applied Sciences

自引率

0.00%

发文量